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Indiana rates for HCPCS 36522

Photopheresis, extracorporeal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $1,561.59 / $19,211.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,888.00 / $9,888.00 / $25,437.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.17 / $109.49 / $1,630.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,370.92 / $3,370.92 / $3,370.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,800.00 / $10,000.00 / $15,750.00